RN Clinical Manager - Behavioral Health

Preferra Insurance; Danbury (CT); Hybrid; USD 95,000 - 98,000; Full time

Benefits offered by this job

Comprehensive benefits

401k plan

Equity stock purchase

Job summary

UnitedHealth Group's LHC Group is seeking a Clinical Manager to oversee daily agency operations and ensure high-quality patient care. You will manage scheduling, staffing, intake, physician communication, billing, and compliance to maintain clinical excellence and operational efficiency.

The role requires CT RN licensure and strong knowledge of home care regulations, with experience supervising staff and coordinating care across Case Managers and nurses to optimize patient outcomes.

Qualifications

• RN license required in CT and solid understanding of home care regulations.
• Experience supervising nursing staff and coordinating care delivery.
• Strong documentation and compliance focus.

Responsibilities

• Evaluate patient eligibility and reimbursement criteria for home care; collaborate with Agency Director on referrals and care planning.
• Schedule and document initial assessments in a timely manner.
• Coordinate with Case Coordinators to ensure staffing and coverage.
• Monitor patient utilization for compliance with orders and funding guidelines; address unfilled shifts.
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely documentation submission.
• Approve and update plans of care (POC) including verbal orders, medications, and treatments.
• Ensure timely completion of recertifications and verification of POC content and compliance.
• Conduct routine and supervisory field visits as required by state regulations.
• Support training and orientation of newly hired nurses and staff.

Skills

RN license

Home care regulations

Staff supervision

Documentation/compliance

Education

BSN preferred

Associates or Diploma in Nursing

Job description

Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency.

Primary Responsibilities:

• Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
• Schedule and ensure timely documentation of initial assessments
• Coordinate with Case Coordinators to ensure appropriate staffing and coverage
• Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
• Approve and update plans of care (POC), including verbal orders, medications, and treatments
• Ensure timely completion of recertifications and verify plan of care content and compliance with policies
• Conduct routine and supervisory field visits as required by state regulations
• Support training and orientation of newly hired nurses, caregivers, and staff

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Registered Nurse (RN) license in the state of practice
• Solid understanding of home care regulations and reimbursement mechanisms

State Specific Requirement:

• CT: RN with one of the following:
  • Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related)
  • Associate degree in nursing + 3 years full-time clinical experience (2 in home health or related)
  • Diploma in nursing + 3 years full-time clinical experience (2 in home health or related)

Preferred Qualifications:

• Bachelor's degree in nursing, healthcare, healthcare technology, or education
• 1+ years of home care experience
• Supervisory or management experience
• Experience in staff training or orientation
• Ability to manage schedules, documentation, and compliance processes

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $95,000 to $98,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

#LHCjobs

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.